Provider Demographics
NPI:1497812168
Name:MOODY, CYNTHIA RAMSEY
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:RAMSEY
Last Name:MOODY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 RAMSEY CT
Mailing Address - Street 2:
Mailing Address - City:BASSETT
Mailing Address - State:VA
Mailing Address - Zip Code:24055-5951
Mailing Address - Country:US
Mailing Address - Phone:276-629-5898
Mailing Address - Fax:276-629-5898
Practice Address - Street 1:111 RAMSEY CT
Practice Address - Street 2:
Practice Address - City:BASSETT
Practice Address - State:VA
Practice Address - Zip Code:24055-5951
Practice Address - Country:US
Practice Address - Phone:276-629-5898
Practice Address - Fax:276-629-5898
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional